Abc Pediatric Dentistry, LLC
Organization Active NPI Pediatric Dentistry · Gillette, WY
NPI 1972822930 · NPPES record last updated May 28, 2010
Key facts
- NPI
- 1972822930
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- Legal business name
- ABC PEDIATRIC DENTISTRY, LLC
- Practice address
- 610 S 4J CT # B
Gillette, WY 82716-4127 - Phone
- (801) 842-6971
- NPI assigned
- May 28, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Nathan D Stevenson, DDS
- Title
- Manager
- Phone
- (801) 842-6971
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry |
1223P0221X | Yes |
Addresses
Primary practice location
610 S 4J CT # B
Gillette, WY 82716-4127
Mailing address
4019 W 12600 S Ste 200
Riverton, UT 84096-7406
Phone (801) 842-6971
Other providers in Gillette, WY
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- Abc Pediatrics LLC
- Abc Pediatrics LLC
- Above Par PC
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All providers in Gillette, WY · Pediatric Dentistry in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.